Lip and Chin Numbness After Chin Implants

Should I be concerned about the numbness in my chin area and lower lip? It has been 3 weeks since my chin implant.

Doctor Answers 4

Lip and chin numbness after chin implants?

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Hello! Thank you for your question! Numbness after any surgical procedure is expected for several weeks to months following. As the nerves to the area are traumatized and will then experience a temporary neuropraxia, a transient loss of nerve conduction. This usually resolves over the next 6-12 weeks, but depending on the procedure performed, sometimes much longer. Typically this should resolve by 1 year. As it goes past this date, the likelihood of the sensation returning is small. However, it can take up to 2 years. If no return from there, it is unlikely to return. It should be discussed that persistent sensory changes may develop following any surgical procedure.  If it worsens or persists - your implant may need to be adjusted.  Followup closely with your surgeon.

The usual signs of the nerves regenerating and neuropraxia resolving is itching, followed by a burning sensation and then occasional sharp, shock-like pains. These will be normal to experience, and actually a promising sign. Usually, normal sensation returns, but is is also possible to have decreased sensation or even increased sensation to the areas affected. Re-educating nerves postoperatively is often helpful and will allow proper instruction for the affected sensory nerves - methods include using different textures to the affected areas when showering, bathing, applying lotion, etc. If bothersome, there are some medications that may be helpful, including Neurontin for pain for hypersensitivity. You can try various textures such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is also beneficial for the incision to make the finest scar possible. The last place to regain the sensation will be directly adjacent to the incision/scar as the nerves will make its way from the periphery to this location. If continual pain arises, evaluation is warranted. After ruling out other causes, one rare explanation may be that a neuroma has developed and may require surgical excision. This is very unlikely unless a large sensory nerve has been transected inadvertently during the procedure. Hope that this helps! Best wishes!

Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Chin/lip numbness after chin implant may occur

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Not every patient notes numbness to the chin or lip after chin implant placement, but some do. Even in the minority of patients who do experience this numbness they will find that it will usually improve anywhere from a few weeks up to a couple months after surgery.

There are two major nerves that provide sensation to the lower lip and chin that exit the jaw bone just above the area where the chin implant is placed. Sometimes the nerves will be stretched a bit during the process of dissecting the implant pocket which can lead to the numbness. As long as the nerve wasn't cut, however, the feeling should come back.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Numbness after chin implant is not unusual at 3 weeks

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Although we prefer for the sensation to be intact, the numbness can be quite normal after chin augmentation especially if combined with neck numbness.

AT about this time, as the nerves recover, you should be experiencing alot of pins and needles sensations. These will be aggravated by tapping over you jaw just below the corners of your mouth.

It would be very unlikely that both nerves were damaged on both sides of your chin.

Discuss your concerns with your surgeon, so that he//she can counsel and supervise your recovery.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Numbness after chin implant

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Numbness of the chin after an implant is a common temporary complaint. It usually resolves in a few weeks but may take longer. There are two large nerves that are encounted during the operation and they are protected from injury. Commonly, the retraction and stretching causes some post-up chin anesthesia.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.